Department of Plastic Surgery, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder (BIRDEM), 122 Kazi Nazrul Islam Avenue, Dhaka, Bangladesh
Vaginoplasty is a procedure for the reconstruction of vaginal canal. Various
surgical techniques have been described for vaginal reconstruction with
variable success. The aim of this study was to assess the use of sigmoid colon
in vaginal reconstruction of patients with disorders of sex development.
Methods: Eleven patients
were included in this study from January 2009 to December 2016. All patients underwent karyotyping,
pelvi-abdominal ultrasonography, endocrine and psychiatric assessment.
Sigmoid neo-vaginoplasty was the procedure chosen for all the cases. Surgical
and functional outcomes were assessed post-operatively over a period of 6 month
to 6 years.
Results: The preoperative
diagnosis included 9 cases of aplasia of the Mullerian ducts or Mayer-Rokitansky-Küster-Hauser
syndrome (MRKH), 1 androgen insensitivity syndrome (AIS) and 1 pseudohermaphrodite
case. The mean age of the study population was 22.5 years (range 15-30 yrs). No
intra-operative or early postoperative complications occurred. The mean vaginal
length achieved was 13.0 cm (range 10.5 – 15 cm). Long term follow-up showed
introital stenosis in 2 cases (17%) which resolved well to vaginal dilatation.
One patient had pelvic abscess and treated by surgery. Sexual satisfaction was
achieved in 10 cases, as 1 case was unmarried.
Conclusion: For patients with
disorders of sex development of various etiologies, sigmoid vaginoplasty is the
preferred technique for vaginal reconstruction. It is a safe technique and
provides the patient with a cosmetic neovagina of adequate caliber with satisfactory
IMC J Med Sci 2018; 12(1): 27-31
Address for Correspondence: Dr. Mohammed Rashedul Islam, Assistant
Professor, Department of Plastic Surgery, BIRDEM General Hospital, Room No. 1119,
122 Kazi Nazrul Islam Avenue, Dhaka – 1000. Email: firstname.lastname@example.org